Nauen David W, Troncoso Juan C
Neuropathology, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Alzheimers Dement. 2022 Feb;18(2):205-210. doi: 10.1002/alz.12385. Epub 2021 May 31.
Degradation and clearance of amyloid beta (Aβ) peptide are likely critical for brain health. Animal studies have demonstrated the role of the glial-lymphatic (glymphatic) system in the clearance of Aβ and other brain metabolites, but no such information has been available in humans. Here we ask whether this system contributes to the clearance of Aβ from the human brain. In the absence of an applicable imaging method, we examined cervical and inguinal lymph nodes resected for cancer therapy or staging using immunohistochemistry. Aβ-labeled cells were present in lymph nodes, and cervical lymph nodes showed labeled cells in far greater abundance than did inguinal nodes. This observation supports the hypothesis that the glymphatic system contributes to the clearance of Aβ from the human brain.
淀粉样β(Aβ)肽的降解和清除可能对大脑健康至关重要。动物研究已经证明了神经胶质-淋巴(glymphatic)系统在清除Aβ和其他脑代谢产物中的作用,但在人类中尚无此类信息。在这里,我们探讨该系统是否有助于从人脑中清除Aβ。由于缺乏适用的成像方法,我们使用免疫组织化学检查了因癌症治疗或分期而切除的颈部和腹股沟淋巴结。淋巴结中存在Aβ标记的细胞,并且颈部淋巴结中的标记细胞数量远多于腹股沟淋巴结。这一观察结果支持了神经胶质-淋巴系统有助于从人脑中清除Aβ的假说。